Evergreen Ipa Inc.

LBN: Evergreen Ipa Inc.
Evergreen Ipa Inc. is an health care organization with primary practice located at 1032 S Garfield Ave , Alhambra CA 91801-4762. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Evergreen Ipa Inc. can be contacted via phone (626) 943-7465, or through Mendoza, Orlando Donadio via phone (626) 943-7465.

Contact Information

Primary practice address
1032 S Garfield Ave Alhambra CA 91801-4762
Fax: (626) 458-8051
Website:
Authorized official contact:
Name: Mendoza, Orlando Donadio CPCO

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X A34137 California

Profile Details

NPI number 1528326782
LBN Legal business name Evergreen Ipa Inc.
DBA Doing business as
Authorized official Mendoza, Orlando Donadio CPCO
Entity Organization
Organization subpart 1 No
Enumeration date Apr 25th, 2012
Last updated Mar 7th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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